BACKGROUND OF THE INVENTION
[0001] In the past, various formulations have been employed as histological fixatives to
provide microscopic detail to sections of biological tissue. One such commonly used
fixative is that known as B-5, which is an aqueous solution of mercuric chloride,
sodium acetate and formaldehyde. Disadvantages of this fixative include dangerous
exposure of laboratory personnel to toxic mercury and formaldehyde and the unpleasant
odor of the latter, expense of disposing of the fixative in a safe manner because
of its mercury content, excessive wear on microtome blades due to the hardening of
the tissue by mercury and the necessity of removing elememtal mercury from tissue
sections by treatment with iodine. Due to precipitation of calomel and metallic mercury
upon standing, fresh solutions must be prepared daily and any excess solutions create
disposal problems.
[0002] The various disadvantages associated with the presence of mercury preclude the use
of B-5 fixative as a routine fixative and allow its use only in situations where microscopic
detail is of the greatest significance and importance, for example in the classification
of a malignancy diagnosed as a malignant lymphoma. Fortunately, the handling of tissue
following fixation by B-5 is almost the same as that of tissue fixed in a routine
fixative, such as neutral buffered formalin, except for the use of iodine.
[0003] While various other fixatives for general use have been proposed that are mercury
and formaldehyde free these have generally required the use of special non-standard
chemicals and present staining problems of one type or another that do not lend them
to widespread use.
SUMMARY OF THE INVENTION
[0004] By means of this invention there has been provided a histological fixative that
is free of mercury and formaldehyde and is comprised of conventional components that
are substantially non-toxic and relatively inexpensive. The fixative is produced
as a clear solution with a pleasant odor and extended shelf life. The tissue fixed
by the fixative may be handled in the same manner as that treated by a routine fixative
and yields microscopic detail greater than or equal to that produced by B-5 fixative
containing mercury and formaldehyde.
[0005] Ventilation considered appropriate for the usual histology laboratory is adequate
to keep exposure to the fixative within safe limits. The non-aqueous components of
this fixative are present in sufficiently low concentration and the pH is sufficiently
high (greater than 2) to allow safe disposal of small volumes of the fixative like
those used under typical laboratory conditions (for example 500 ml. per day) in conventional
sewage systems. A satisfactory microscopic appearance is obtained in sections of
tissue immersed in the fixative for up to eight weeks, far longer than the few hours
permitted by B-5 fixative.
[0006] The fixative of this invention constitutes a solution used as a histological fixative
prior to application of hematoxylin and eosin stains, special histochemical stains
or immunohistochemical stains. The fixative comprises a solvent of one or more alkanols
such as methanol, one or more diols or triols such as ethylene glycol or glycerol,
one or more acids such as formic acid and/or acetic acid and other carboxylic acids,
picric acid, perchloric acid and the like, and water. The solute consists of mordants
to enhance staining qualities and/or osmotically active agents to control osmotically
induced cell volume changes and to preserve red blood cells. Examples of mordants
and osmotically active agents are zinc chloride and sodium chloride respectively.
Zinc chloride may also be employed for the dual function of mordant and osmotically
active substance.
[0007] The fixative formulation is simply prepared from standard inexpensive laboratory
chemicals and has a substantial shelf life. Handling and exposure represent no problems
that are not encountered in a conventional laboratory. The fixative is employed for
a variety of tissues and application of different stains with a wide range of tissues
can be effected with enhanced specific staining and reduced non-specific staining.
DESCRIPTION OF THE INVENTION
[0008] The histological fixative of this invention is comprised of solvent components of
one or more alkanols such as methanol or ethanol in a total concentration of about
200 to 800 milliliters per liter of solvent.
[0009] A further solvent component comprises one or more diols and triols in a total concentration
of about 150 to about 700 milliliters per liter of solvent. Exemplary of such diols
and triols are ethylene glycol, glycerol, propylene glycol and trimethylene glycol.
[0010] In addition, one or more acids such as formic acid and acetic acid are employed at
a total concentration of about 0.01 to about 0.5 mole per liter of solvent. Water
is added and constitutes the remainder of the solvent.
[0011] The solute consists of mordants, such as a salt with a metal ion having an oxidation
state of two or more in a concentration of zero up to about 0.2 mole per liter of
solvent. Zinc chloride is preferred but other salts, including those of strontium,
calcium, barium and chromium, may also be employed. Also there may be employed picric
acid and an alkali dichromate such as potassium dichromate.
[0012] In some instances of histological fixation of tissues, osmotically induced cell volume
changes of the tissue may be encountered. In such cases, sodium chloride is included
in the formulation as an osmotically active substance. In addition, sugars such as
the polysaccharides, sucrose, glucose and the like may be employed for this purpose
where desired.
[0013] Alkanol, diol and triol, acid and mordant components have been individually employed
with other components in other formulations in preparing tissue for microscopy but
have not been employed in applicant's novel formulation in the combination herein
described. The individual components have met with acceptance for their individual
characteristics. Thus the alkanols, particularly methanol and ethanol, are widely
recognized as tissue fixatives. Generally, these alkanols are high concentrations
in an aqueous solution such as 70% and 95% for ethanol. The diols and triols facilitate
dehydration of the tissue and contribute to microscopic detail. Acetic acid is another
acknow ledged fixative and also counteracts the tissue shrinkage produced by the
alkanols. Formic acid has been used primarily in decalcifying fixatives and has been
found in this invention to provide satisfactory detail when used instead of acetic
acid in the fixative. Water is necessary for optimal tissue preservation and increases
the solubility of the zinc chloride or other salts in the fixative. Zinc chloride,
or other appropriate salts as described above, is employed as a mordant.
[0014] As a typical example of the histological fixative of this invention there is listed
below an exemplary formulation:
EXAMPLE
[0015] Ethanol, 400 mL/liter of fixative
Ethylene glycol, 300 mL/liter of fixative
Acetic acid, 10 mL/liter of fixative (0.17 mole per liter)
Zinc chloride, 5.8 g/liter of fixative
Water, remainder of fixative, i.e. about 290 mL/liter of fixative
[0016] Various human tissues, including tonsil, vertebral bone marrow, and colon, were routinely
immersed in the fixative for 1-8 hours, although immersion for up to 8 weeks gave
a satisfactory microscopic appearance. Changes in tissue color and elasticity indicated
rapid penetration, estimated as 2 mm/hour for tonsil. Gross tissue shrinkage was minimal.
After fixation, bone marrow was decalcified with an ethylene diamine tetraacetic acid
solution or formic acid. It was found that postfixation of soft tissues for 2 hours
in neutral buffered formalin did not alter the microscopic appearance of tissue sections
or staining characteristics. However, 2 hours of immersion in an aqueous phosphate
buffer in lieu of postfixation gave poor results. Following fixation and optional
postfixation, the tissue was dehydrated by a graded series of ethanol solutions. followed
by xylene and then embedded in paraffin. Paraffin infiltrated the tissue thoroughly,
producing tissue blocks with good cutting characteristics, including blocks containing
large amounts of blood, fat, and dense smooth muscle such as uterine cervix.
[0017] Sections of tissue treated with this fixative had a satisfactory microscopic appearance
using all of the following commonly used stains. In general, the tissue showed the
good microscopic detail characteristic of B-5 fixative and the staining properties
of a mordant-containing fixative such as Zenker's, an aqueous solution of mercuric
chloride, potassium dichromate, acetic acid, and optionally sodium sulfate. Comments
on the microscopic appearance are included as appropriate. It is generally observed
that compared to formalin fixation, this fixative gives less non-specific staining,
which tends to obscure or cloud the detecting stain.
STAINS
[0018] Giesma--satisfactory appearance
Hematoxylin and eosin--nuclear detail comparable to B-5 fixed tissue
methyl green pyronin--less non-specific staining than formalin-fixed tissue
periodic acid Schiff--less non-specific staining than formalin-fixed tissue
reticulin--little or no shrinkage was observed
Ulex europaeus agglutinin I (binds to fucose)--enhanced staining compared to formalin-fixed
tissue
von Leder--less non-specific staining than formalin-fixed tissue
[0019] The von Leder stain for naphthol AS-D chloroacetate esterase, which cannot satisfactorily
be performed on tissue fixed by B-5, gives good results using tissue fixed by the
fixative described herein. The fixative also allows acceptable appearances of other
histochemical stains as noted above, including periodic acid Schiff, methyl green
pyronin and reticulin. Immunoperoxidase staining for fucose, using Ulex europaeus
agglutinin I, is enhanced in tissue fixed by this fixative as compared to tissue fixed
by neutral buffered formalin.
[0020] Sections of tissue treated with this fixative for up to 2 weeks also had a satisfactory
microscopic appearance using the following immunohistochemical stains. Again, comments
on the microscopic appearance are included as appropriate. collagen, type IV--satisfactory
appearance
common leukocyte antigen--enhanced staining compared to formalin-fixed tissue
desmin-- staining is comparable to that of ethanol-fixed tissue (stain cannot be performed
on formalin-fixed tissue)
human epithelial keratin (AE1/AE3)--satisfactory appearance
S-100-- no non-specific staining seen, unlike formalin-fixed tissue
vimentin--less non-specific staining than formalin-fixed tissue
[0021] As an example of the use of this fixative, following immersion of tissue in it for
at least one hour, conventional processing may be carried out in a closed machine
or otherwise. An an example, the tissue may be immersed in neutral buffered formalin,
dehydrated by a series of aqueous ethanol solutions of gradually increasing concentration
followed by xylene, infiltrated by molten paraffin, embedded in paraffin, and finally
sectioned. The section is placed on a glass slide, stained with conventional stains
as exemplified above, and examined microscopically. After examination, the slide
may be preserved as in conventional practice.
[0022] Various changes and modifications may be made within this invention as will be apparent
to those skilled in the art. Such changes and modifications are within the scope and
teaching of this invention as defined in the claims appended hereto.
1. A mercury and formaldehyde free histological fixative comprising a solvent mixture
comprised of one or more alkanols as a tissue fixative, at least one of an organic
diol and triol as a dehydrating agent and to aid microscopic detail, at least one
acid to precipitate proteins, contribute to nuclear morphological detail, and increase
penetration rate of fixative into tissue, and water.
2. The histological fixative of claim 1 in which one or more osmotically active substances
are added to control osmotically induced cell volume changes.
3. The histological fixative of claim 1 in which one or more mordants are added to
enhance staining characteristics.
4. The histological fixative of claim 2 in which one or more mordants are added to
enhance staining characteristics.
5. The histological fixative of claim 1 in which said alkanol is at least one of methanol
and ethanol; the diol and triol is at least one of ethylene glycol, glycerol, propylene
glycol and trimethylene glycol; and said acid is at least one of formic acid, acetic
acid and perchloric acid.
6. The histological fixative of claim 2 in which said osmotically active substance
is at least one of a salt, a monosaccharide, a disaccharide, and a water soluble
polymer.
7. The histological fixative of claim 3 in which the mordant consists of at least
one of a salt of a metal ion having an oxidation state of at least two, picric acid,
and an alkali dichromate.
8. The histological fixative of claim 4 in which the mordant consists of at least
one of a salt of a metal ion having an oxidation state of at least two, picric acid,
and an alkali dichromate.
9. The histological fixative of claim 6 in which the salt is at least one of sodium
chloride and zinc chloride; the monosaccharide is glucose; the disaccharide is sucrose;
and the polymer is one of dextran and polyvinylpyrrolidone.
10. The histological fixative of claim 7 in which the salt is at least one of zinc
chloride, strontium chloride, calcium chloride, barium chloride and chromic chloride.
11. The histological fixative of claim 8 in which the salt is at least one of zinc
chloride, strontium chloride, calcium chloride, barium chloride and chromic chloride.
12. The histological fixative of claim 1 in which the alkanols have a combined concentration
of about 200 to about 800 milliliters per liter of fixative, the diols and triols
have a combined concentration of about 150 to about 700 milliliters per liter of
fixative, and the acids have a combined concentration of about 0.01 to about 0.5 mole
per liter of fixative.
13. The histological fixative of claim 2 in which the osmotically active substances
have a combined concentration of up to about 700 milliosmoles per kilogram of solvent
in the fixative.
14. The histological fixative of claim 3 in which the mordants have a combined concentration
of up to about 0.2 mole per liter of fixative.
15. The histological fixative of claim 4 in which the mordants have a combined concentration
of up to about 0.2 mole per liter of fixative.
16. The histological fixative of claim 3 in which said alkanol is ethanol and has
a concentration of about 400 milliliters per liter of fixative, said diol and triol
is ethylene glycol and has a concentration of about 300 milliliters per liter of fixative,
said acid is acetic acid and has a concentration of about 0.17 mole per liter of fixative,
and said mordant is zinc chloride and has a concentration of about 5.8 grams per liter
of fixative.